New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
12/24/2024 1:17:00 PM
Cost:
Service:
Frame + Lenses
prescribed by doctor:
Notes:
frame (oliver people), AR
SPH
CYL
AX
ADD
OD
-2.25
0.75
177
OS
-1.25
1
153
2
New visit Information
Date of visit:
Cost in this visit:
type of service:
prescribed by doctor
Note:
SPH
CYL
AX
ADD
OD
OS
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